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Home My WebLink About1811 OAK AVE; MULTI-PERMIT FILE; CB140907; PermitCity of Carlsbad S 1635 Faraday Av Carlsbad, CA 92008 -05-13-2014 ' Demolition Permit Permit No. 140907 Building Inspection Request Line (760) 602-2725 Job Address: 1811 OAK AV CBAD Permit Type: DEMO Full Demo: Y - Status: ISSUED ParOel No: 2050800200 Lot #: 0 Applied: 04/22/2014 Entered By: RMA Occupancy Group: Reference #: Plan Approved: 05/13/2014 PC#... # Dwelling Units: 0 Structure Type: SFD issued: 05/13/2014 Bedrooms: 4 Bathrooms: 2 Inspect Area: Project Title . DEMOLISH EXISTING 2177 SF HOUS 450 SF GARAGE & GEODESIC DOME IN REAR YARD Applicant:. Owner: ZEPHYR CUSTOM HOMES II L L C ZEPHYR CUSTOM HOMES II L L C 00 SECOND ST - . . . 11750 CORRENTO VALLEY RD #103 ENCINITAS CA 92024 ' . SAN DIEGO CA 92121 858 558-5127 . . Building Permit $0.00 Plumbing Fee ' $0.00 Other Fee $65.00 Additional Fees $0.00 . TOTAL PERMIT FEES . . $65.00 ., . . $65.90 Total Payments To Date $Q5.00 Balance Due $0.00 Total Fees FINAL APPROVAL . Inspector: . - Date: - . Clearance:. . NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions. You have 90 days from the date this permit was issud to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030.. Failure to timely follow that procedure will bar any subsequent legal action to attack,.. review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT. APPLY to any fees/exactions of which you have previously been piven a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired L >'lTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:' DPLANNING EJENGINEERING DBUILDING .DFIRE [--]HEALTH DHAZMAT!APCDI Building per Application Plan Check No /gp 7 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value C I TV 0 F - Ph: 760-602-2719 Fax: 760-6O2858 Plan Ck. Deposit CARLSBAD email: buildingcarlsbadca.gov, A / / wwwccarisbádca.gov (4Af- Date 11/otJ 19 Iswppp 1 JOB ADDRESS LISUITE#/SPACE#/UNITè' - APN -, ANJ CT/PROJECT A I LOT 17HASE A # OF UNITS A BEDROOMS A BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP Ch- 14 DESCRIPTION OFWOkK: Include Square Feet of Affected Area(s) .. . . . . Pxnc(-k -\ c:)c 211 9, .c 9L cl~MQA it r - QtxQ\ç c\rc9,c (QO-I If II5oh!17v24,qL EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING I FIRE SPRINKLERS YESJ# N0 YES N0 YESNOE APPLIC)T NAME 'J V PROPERTY OWNER . t' t . Primary contact - kAflC\9\.kn A- JflQf ADDRESS ADDRESS CITY ZIP CITY STATE ZIP PHONE - -:, PHONE FAX - V. uigo -e& - —' c• -ç9 EMAIL CL my7sb Ccv ' EMAIL DESIGN PROFESSIONAL . H . . . . . -• CONTRAOR BUS. NAME Qy - - ADDRESS - . . - . - . - - ADDRESS V. .. . ,.: V CITY V? STATE . ZIP - . . CITY . .. STATE . ZIP V ............ V : . PHONE - . . .- . FAX............. . PHONE FAX V ... WM EMAIL STATE LIC. A - STATE LIC VA _____ ___CLASS_. _____CITY _BUS. LIce (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pribr to its issuance, also requi(es the applicant for such permit to file asigned statement that he is licensed pursuant to the provisions of the Contractor's License Law jChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). V . . . .: V Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: . —]I have and will maintain a certificate of consent to sell insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued [J I have and will maintain workers compensation, as required by Section 3700 of the Labor Code, for the performance of the work foi-which this prmit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co.. _. __ . __- - Policy No. - - - Expiration Dale-__________________________ V This ion need not be completed tithe permit is for one hundred dollars )$100) or less.. Certificate of Exemption: I certify that in the performance of the work for Which this permit is.1 shall not employ any person in any manner.só as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation verage is unlawful, all subject an employer to criminal penalties and civil fines up to one hundred th usand do lars (&100,000), in addition to the cost'of compensation, dama a . vide in VOn 3706 of the or code, intereit and attorney's fees. EfACTORSI1JE AGENT DATE V. V I hereby affirm that lam exempt from Contractor's License Law for the following reason: - . . . V V• V . [] - I, as owner of the property or, my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044,-Business and Professions Code: The Contractor's. - License Law does not apply to an owner of property who builds or improves thereon, and who does suchwork himself or through his own employees, provided that such improvements are not intended or offered for - sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businessànd Professions Code: The Contractor's Ucense Law does not apply to an owner of, - property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursUant to the Contractor's License Law).' - V El I am exempt under Section Business and Professions Code for this reason: -- V V - . - V •V, - , - : 1:1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ,Yes IJNo - 2. I (have I have not) signed an application for a building permit for the proposed work.............V V . - . . . - - 3. I have contracted with the following person (firm) to provide the proposed construction (include dame address/ phone /contractors' license number): - 4. I plan 10 provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/contractors' license number):. - 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ..PRCPERTY OWNER SIGNATURE DATE []AGENTGENT - r-- I 0 - 1L1L fC3 4I ® tit34 U€h clul LIED~O( (° Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management andprevennon pronram under Sections 2Su5 5533 or 25534 of the Presley-Tanner Hazardous Substnce Account Act? Yes No - - --, Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? NYis IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES 1. AND THE AIR POLLUTION CONTROL DISTRICT I hereby ahnnn that there is a cnstr Liction lending agc ncy for the prlc a ar Ce of the woth this permit is issued iSec 309 Ciol Code) 'Lender s Name Lenders Address I cortifythat I have mad the application and state that the above information us cormctuod that the information on the plans is accurote I agree to comptywrth all Crtyorthnances and State laws relating to bulldlngconstntchon I hereby authorize representative of the City of Carlsbad to enter upen the above mentioned property for inspection purjxtses I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD `AGAINST ALL- LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCR NSTID CITY IN CONSEQUENCE OF THE GRANTING OF THISPERMI1 OSHA M OSHA permit is required for excavations over 50 deep and demolition or construction of S res r 3 stones in height, EXPIRATION Every permit issued by the Building OfScial under the this Code shall e ire b itation and come null and void if the buating or Work authorized by such permit is not commencod thin 180 days from the date of such period or if the b or rk autho uch permit is sus nd rabandoned at an Lillie after the wont is commencod for a period of 180 clays- (SectioDhOi Uniform Building Code) DATE //- PLANNING DIVISION Development Services BUILDING PLAN CHECK Planning Division 1635 C I I V 0 F Faraday Avenue (760) 602-4610 CARLSBAD P29 1' I. DATE: 4/23/14 PROJECT NAME: 1811 Oak Ave PROJECT, ID: MS 13-06 / HDP 13-02 PLAN CHECK NO CB 14-0907 SET# ADDRESS 1811 Oak Ave APN 205-080-02-00 This plan check review is complete and has been APPROVED by the Planning Division ,A.. By Chris Garcia ' - A Final Inspection by the Planning Division is required 0 Yes Z No - .- -. You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior, to the issuance of a building permit. Resubmitted plans should include corrections from all divisions This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. - • - Plan Check APPROVAL has been sent to: Mandy@zephyrpartners.com - For questions or clarifications on the attached checklist please contact the following reviewer as marked: "v-? : :' ': V -PLANNING - - ENGINEERING L• :•....... ' FIRE PREVENTION 7606024610 ' 7606022750 P'V - 7606024665 - .'•- -t'i'.-. - •• .• Chris Sexton Kathleen Lawrence • Greg Ryan 760-602-4624 760-602-2741 ', - . . 760-602-4663 Chris.Sexton@carlsbadca.gov • Kathieen.Lawrence@carisbadca.gov 'Gregory.Ryan@carisbadca.gov 'Gina RUIZ . * Linda Ontiveros. Cindy Wong. , 760-602-4675 - 760-602-2773 - - 760-602-4662 Gina.Ruiz@carlsbadca.gov , Linda.Ontiveros@carlsbadca.gov Cvnthia.Wong@carlsbadca.gov . Chris Garcia 7606024622 1 Dominic Fieri Chris.Garcia@carlsbadcagov - • -. - • - . 760-602-4664 * - .. -•- - .' ',, -.•. Dominic.Fieri@carisbadca.gov Remarks: Demolition of the existing house is consistent with the approved MS 13-06/HDP 13-02 and does not require any planning permits. -. - - - . ,.----,* • • .- -- - - I ,- •' - I' -' ' .-• - -• 1-, • _' *- --- . - ,. - - ... * DATE 04/24/2014 - PROJECT NAME.'1811 OAK AV PROJECT ID C8140907 PLAN CHECK NO I SET# 2 ADDRESS 1811 OAK AV APN 2050800200 This plan check review is complete and has been APPROVED by the FIRE Division By: GRYAN A Final Inspection by the ARE Division is required Yes No This plan check review is NOT COMPLETE Items missing or incorrect are listed on the attached checklist Please resubmit amended plans as required.-- ,.Plan Check Comments have been sent to You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit Resubmitted plans should include corrections from all divisions For questions or ciarufications on the attached checklist please .contact the following reviewer as marked . •;4. . ':-': -. PLANNING 1 .J.• p -. q .. ENGINEERING 4... : -i-. . FIRE PREVENTION -. 76O602-4610 r4. . 76"0?-2750 - ' , 760-602-4665. --• - :. . :L .4•. . - Chris Sexton . . Kathleen Lawrence Greg Ryan 760-602-4624 . 760-602-2741 . - .760-602-4663 . -. Chris.Sexton@carlsbadca.gov, . Kathleen.Lawrence@carlsbadca.óv, gorv.Rvan@carIsbadca.gov ET Gina.Ruiz . .. Linda Ontiveros .El Cindy Wong 760-602-4675 .. . . 760-602-2773 - 760-602-4662 . Gina.Ruiz@carlsbadca.gov. .. .. Linda.Ontiveros@carisbadca.Eov Cvnthia.wong@carisbadca.gov .• •• •. • - . - •• .. . -Dominic Fieri 760-602-4664 - . . . . - . . . Dominic.Fieri@carlsbadca.gov MS11DailvaP#ohzsMatar1a!AmIàJIklorAI'ff1yCu11suhtáI 9&1VffM&YFe1B)WMCA $Wfftm7sfihl 111 1i7/1B Fix flhl&fd 11214 September 11th 2013 Zephyr Partners Attn: Mandy Miller 11750 Sorrento Valley Road, Suite 130 San Diego, CA 92121 RE: SAMPLE COLLECTION AND ANALYSIS FOR ASBESTOS CONTENT by PLM INSPECTION FOR LEAD BASED PAINT BYXRF METHODS Site: 1811 Oak Ave and Back House Carlsbad, CA 92008-1103 Dear Ms. Miller: INTRODUCTION On August 15t", 2013 Drew Cornelison performed a survey to determine the presence of lead-based paint (LBP) and asbestos containing construction materials (ACCM) at the above listed property in Carlsbad, CA. SITE DESCRIPTION The subject property consisted of a single story residence. The exterior was stucco over wood framing and the interior was plaster. The back house exterior was roofing shingle and the interior was drywall. The roof was roof shingle with mastic. SURVEY METHODOLOGY Lead Based Paint: The testing method employed was X-Ray Fluorescence (XRF) using a Scitech MAP-4 instrument. The instrument was operated in the "unlimited" mode, where the duration for each test result is determined by a combination of: '1 the actual reading relative to the designated action level; the age of the radioactive source; and the substrate on which the sample was taken The instrument's calibration was verified according to the manufacturer's specifications in compliance with the Performance Characteristic Sheet (PCS) developed for this instrument. The readings from this instrument produce a 95% confidence level that the 'lead" reading accurately reflects the actual level of lead in the tested surfaces, relative to the federal action level. AAT utilized a modified HUD recommended inspection strategies as outlined in HUD Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in Housing, Chapter 7: Lead-Based Paint Inspection, 1997 Revision, Chapter V; Inspections in Single Family Housing. Currently HUD offers the only available guidelines for lead-based paint inspections utilizing X-ray Fluorescence. . Asbestos: The method employed for the determination of asbestos in building materials was a modified AHERA protocol. The inspector conducted a visual survey of the rooms. During the visual review functional areas and homogeneous materials were identified. Samples were collected to represent the individual homogeneous materials and functional areas. These samples were then sent to a federally accredited NVLAP certified laboratory. The samples were analyzed in accordance with procedures described in Appendix A, of the Federal Register, 40 CFR Ch. 1, Pt. 763, Subpart F, 7/1/91 and updated revision test method: EPA/600/R- 1811 Oak Ave September 1 I 1 2013 93/116.7/96. This procedure involves examination of the samples with a petrographic microscope utilizing polarized light, a proôedure commonly known as Polarized Light Microscopy (PLM). The sample results were then reviewed and asbestos containing building materials identified. STANDARDS Lead Based Paint: Currently the State of California and US EPA stipulate what concentration level of lead in the nonvolatile components of surface coatings or materials indicates the presence of lead-based paint. The Cal-OSHA construction standard stipulates that any concentration of lead in paint constitutes lead-based paint. The California Department of Health Services(DHS) stipulates that surface coatings that contain an amount of lead equal to or in excess of one milligram per square centimeter (1.0 mg/cm2) or more than half of one percent(0.5%) by weight constitute a lead-based paint. Federally, the US Department of Housing and Urban Development (HUD) has established a Guideline applicable to federally owned or subsidized housing. That guideline for designating paint as lead-based and triggering remedial actions is 1.0 mg/cm2 (milligrams per square centimeter) or 0.5% by weight. Asbestos: The US EPA's National Emissions Standards for Hazardous Air Pollutants (NESHAPS) 40 CFR 61,S ' ubpart M, Section 61.145, Standards for Demolition and Renovation identifies requirements for abatment for Friable and Non-Friable asbestOs containing materials. In addition to the NESHAP's regulations the Occupational Safety and Health Administration's (OSHA) Title 29, 1910.1001 and 1926.1101; and, the California Code of Regulations, Title 8, Section 5208 and 1529 (Cal/OSHA) address proper work techniques regarding worker exposure to asbestos airborne contaminants. California Regulations also stipulate that asbestos containing construction material (ACCM) is any material containing greater than 0.1% asbestos. SCOPE OF WORK Testing was limited to accessible areas. The only inaccessible areas identified were under the flooring/concrete slab of the structure and interior wall cavities. If additional materials are uncovered during demolition additional testing would be required. Lead Based Paint: Within the tested property, representative surfaces of the areas were tested. Multiple readings were performed in order to resolve any inconsistencies in the test results. Typical areas of testing include interior perimeter walls, testing combinations of interior window components (sill, frame and sash), interior perimeter, door components (door, frame and jamb), exterior of perimeter doors (door, frame and jamb), exterior perimeter walls and exterior window components (well, sash and frame). Asbestos: As previously mentioned, functional areas were established throughout the subject building. Within each area, the inspection consisted of both a visual review of all suspected ACCM and sample collection of the materials. The sampling was patterned after the U.S. EPA Part 763, Subpart E, Asbestos Containing Materials in Schools Rule and Cal/OSHA, CCR Title 8, Section 1529. Sample locations were randomly selected to be representative of the functional area and homogeneous material. When it was considered appropriate material was wetted with water prior to sample collection in order to minimize fiber release. The sample was then placed in a container and sealed with an identification tag. The identification number of the tag indicates the functional area from which the sa—mple was collected and the sample number. The sample I.D. number was then logged onto the Asbestos Bulk Sample Log along with a description of the material. Transite flues, pipes or siding were visual identified and presumed to be asbestos containing. Results are reported as the percentage of asbestos found in the material and the type of asbestos. For example, "10-20% Chrysotile or 30-40% Amosite", Chrysotile and Amosite are names of different types of asbestos. - .. . . 1811 Oak Ave September I I 1h 2013 RESULTS Lead Based Paint: The concentration level detected (CLD) of the tests are reported in milligrams per square centimeter. The result is.. reported as positive, greater than 1.0mg/cm2; negative, less than 1.0 mg/cm2; or inconclusive, '1 .0 mg/cm2. Paint chip samples would be collected on all inconclusive XRF tests and submitted to a laboratory for analysis by Atomic Absorption Spectrophotometry (AA). The results of all laboratory analysis are reported in parts per million (ppm). In summary, the folläwing is a table listing the locations of identified LBP. BUILDING ROOM . COMPONENT PAINT CONDITION 1811 Oak Ave Bathroom I Ceramic Wall Tile Satisfactory Bathroom 2 Ceramic Tile Counter Satisfactory Top and Ceramic Wall Tile Kitchen Ceramic Tile Counter Satisfactory Top, Window Stool/Apron and Sash Exterior Stool/Apron and Satisfactory Sash, Doors Eaves and Posts Results of the testing conducted at the referenced property are listed on the following tables: Table 1 lists a summary of components tested Table 2 lists all the positive results Table 3 lists all of the results of the testing conducted. . A description for some of the sections of the attached tables is Column: Wall 1, wall with entry door Wall 2; wall -to right of wall l Wall 3 wall directly opposite wall 1 Wall 4 wall to left of wall 1 Asbestos: Insulation pad, sheet vinyl w/mastic, and mastic under floor tile were found to contain asbestos. Transite flues and/or pipes were visual identified and presumed to be asbestos containing. Suspect materials tested included, wall plaster, sheet vinyl w/mastic, insulation pad, window putty, composition roof shingle and floor tile w/mastic The analytical results are on the following page .- Page 1 of 2 Site Address: 1811 Oak Ave and Back House Carlsbad, CA Analytical i-<esults: Matériàl:Pàta.(MbéstosOntaini mateiáióhly). :- :.. .näliäI resUlt ;. Sample ID # Material Description Location (FiNF) Amount1 Condition2 Access Priority3 Type4 0130867- Plaster Living Room . . None Detected 001 0130867- Plaster Bedroom 1 . None Detected 002 0130867- Plaster Bedroom 1 . None Detected 003 0130867- Sheet Vinyl Master Bath . None Detected 004 0130867- Sheet Vinyl Hall Bath . None Detected 005 0130867- Insulation Pad . Hall Closet F . 10 SF Fair Medium 3 TSI 40% Chrysotile 006 0130867- Sheet Vinyl Kitchen F 100 SF Fair High 3 F Layer 1 Sheet Vinyl, 15% Chrysotile 007 . Layer 2, Mastic, 3% Chrysotile 0130867- Window Putty Exterior Windows . . None Detected 008 0130867- Window Putty Exterior Windows None Detected 009 Friability: F=Friable NF=Nonfriable Friability of the material is determined by the inspector physically touching the material in place. However, the friability of the material may change depending on the removal methods used or by natural degradation of the material or inadequate maintenance. 1. Amount: All amounts are approximations. Contractors should verify quantities for bidding purposes 2. Condition: Good=No visible damage Fair=<10% damage Poor=>10% damage 3. See table below Priority Corrective Action Assessment 1 Remove Material is damaged and poses a health hazard. Must be removed immediately by a Registered Asbestos Contractor. 2 Repair Material is slightly damaged and if repaired properly would pose no health hazard. 3 . Operations/Maintenance All occupants should be informed as to where the ACM is located in the site and to not disturb it in any way. 4. Type: S=Surfacing TSI=Thermal Systems Insulation R=Roofing F=Flooring C=Cementitious G=Gasket M=Miscellaneous Notes: 1. The EPA PLM method was designed for qualitative analysis in friable materials. Non-detection of certain types of non-friable resinous materials, such as floor tiles can occur. Additional [EM analysis of samples determined to be <1% or non-detected by the PLM method is recommended when determination ot the absence of asbestos is required, or more accurate quantitative analysis is required. 2. When a sample is layered, and more than one layer contains greater than 1% asbestos, the sample should be considered asbestos containing, even though the total percentage may be less thanl%. Local regulations must be consulted before this sample can be considered non-asbestos containing. All samples .were analyzed by EMC Laboratories. Page 2 of 2 Site Address: 1811 Oak Ave and Back House Carlsbad, CA Analytical i-<esuits: Material Data (Asbestos containing material only) - Analytical results Sample lD# Material Location F bIt Description (F/NF) Amount1 Condition2 Access Priority TV. 0130867- Window Putty Exterior Windows None Detected 009 0130867- Window Putty Exterior Windows None Detected 010 0130867- Composite Shingle Exterior Roof None Detected 011 0130867- Floor Tile and Mastic Laundry NF 80 SF Fair High 3 F Mastic, 8% Chrysotile 012 NSC . Transite Flue Roof NF 20LF Good Low 3 TSI Transite is a known asbestos containing material. 0130868- Floor Tile/Mastic Back House Kitchen NF 40 SF Fair High 3 . F Floor Tile-3% Chrysotile 001 . . Mastic-5% Chrysotile 0130868- Roof Shingle Back House Exterior None Detected 002 0130868- Roof Mastic Back House Exterior NF 20 SF . Fair Medium 3 .. R 5% Chrysotile 003 Friability: F=Friable NF=Nonfriable Friability of the material is determined by the inspector physically touching.the material in place. However,.the friability of the material may. change depending on the removal methods used or by natural degradation of the material or inadequate maintenance. . 5. Amount: All amounts are approximations. Contractors should verify quantities for bidding purposes 6. Condition: Good=No visible damage Fair=<1O% damage Poor=>10% damage 7. See table below Priority Corrective Action Assessment 1 Remove Material is damaged and poses a health hazard. Must be removed immediately by a Registered Asbestos Contractor. 2 Repair Material is slightly damaged and if repaired properly would pose no health hazard. 3 Operations/Maintenance All occupants should be informed as to where the ACM is located in the site and to not disturb it in any way. 8. Type: S=Surfacing TSl=Thermal Systems Insulation R=Roofing F=Flooring C=Cementitious G=Gasket M=Miscellaneous Notes: 1. The EPA PLM method was designed for qualitative analysis in friable materials. Non-detection of certain types of non-friable resinous materials, such as floor tiles can occur. Additional TEM analysis of samples determined to be <1% or non-detected by the PLM method is recommended when determination of the absence of asbestos is required, or more accurate quantitative analysis is required. 3. When a sample is layered, and more than one layer contains greater than 1% asbestos, the sample should be considered asbestos containing,. even though the total percentage may be less than 1%. Local regulations must be consulted before this sample can be considered non-asbestos containing. All samples were analyzed by EMC Laboratories. 1811 Oak Ave September th 2013 CONCLUSIONS Lead Based Paint: The components that were identified as being coated with lead-based paint were in satisfactory condition. . Asbestos: The insulation pad, sheet vinyl and mastic in the kitchen and mastic in the laundry room are asbestos containing along with the floor tile and mastic and roofing mastic in the back house. The transite flues and/or pipes were visual identified and presumed to be asbestos containing. These materials should be removed prior to demolition and disposed of at an appropriate landfill. All asbestos containing materials must be disposed of in accordance with all local state and federal requirements RECOMMENDATIONS I Lead Based Paint: Lead based paint coated components identified to be in unsatisfactory or poor condition should be removed or repaired immediately u Co Coponents fond to be in satisfactory condition do not pose an immediate health-threat but should be monitored to ensure that the condition does not degrade When conducting work that will impact surface coatings with any' lead content individuals should take steps to ensure they are protected in accordance with Cal/OSHA When impacting lead containing materials that are found to contain lead in levels above the HU,D recommendations, the contractor must be licensed and have properly trained personnel for the operation. All activities must be conducted in accordance with Federal, State and Local requirements. A generator of lead-containing waste that is not exempt as household waste is obligated to make a waste determination prior to disposal. Lead-bearing waste may be managed as either a solid waste or a hazardous waste depending on the results of Toxicity Characteristic Leaching Procedure (TCLP) test for lead. Lead- containing waste includes all wastes with any amount of lead. Therefore even when a HUD level inspection is performed and all of the components are found to contain lead in levels below the HUD threshold level any waste generated from the site should be waste- characterized. There are several methods for the characterization of lead-containing waste. Federally the TCLP test is the primary test used to determine if the waste is regulated by RCRA. In California the TCLP is treated as a screening test and can be used to identify RCRA waste. However if the TCLP results are below the maximum contaminant concentration for lead then 'a Waste Extraction Test (WET) must be performed to determine if the waste is a non-RCRA California only hazardous waste or non-hazardous waste. The TCLP maximum contaminant concentration for lead is 5.0 mg/I (5.0 ppm).. Wastes with 5.0 ppm or greater exhibit the toxicity characteristic for lead and require management as a RCRA hazardous waste. In California, if the results of the TCLP tests are found to be below 5.0 ppm, the waste may be treated as a non- RCRA California only hazardous waste or additional testing would be required to determine if the waste could be disposed of as non-hazardous waste. The additional testing is the Waste Extraction Test (WET); this test provides two test limits. The first is the Total Threshold Limit Concentration (TTLC) which takes into account the total amount of material submitted. The second limit is the Soluble Threshold Limit Concentration (STLC) which takes into account only the soluble portions of the material. The maximum concentration limit for the TTLC is 1,000 ppm and the maximum concentration limit for the STLC is 5.0 ppm, the same as the TCLP test. If the results of the WET tests exceed the maximum limits for the TTLC then the waste is considered to be non-RCRA California only hazardous waste. If the results of the WET test are below the maximum limit for the TTLC then the STLC must be referenced, if the STLC results are below the maximum limit then the waste may be managed as non-hazardous waste. If the STLC results exceed the STLC maximum limit then the material must be managed as a non-RCRA California only hazardous waste. . Asbestos: According to the US EPA's National Emissions Standards for Hazardous Air Pollutants (NESHAPS) 40 CFR 61, Sub-Part M, Section 61.145, Standards for Demolition and Renovation, -all affected ACCM must be removed prior to demoJition or renovation of a building or section of building. Currently no regulation requires ACCM to be removed at any other time. Abatement activities are predicated upon the 1811 Oak Ave. and Back House . , . . ... . . September 11th 2013 . . . judgment of qualified individuals to assess the condition of the ACCM and its current and potential health hazard to building occupants. However, any contractor who is hired to perform work that may disturb or damage the ACCM and generate respirable asbestos fibers must be informed by the building owner about the ACCM so that the contractor can take the proper precautions to protect his employees and those precautions necessary to prevent contamination of the building. LIMITATIONS OF THIS SURVEY Lead-Based Paint 'Survey: This survey was conducted with the use of x-ray diffraction using an XRF device. This inspection is an excellent andefficientway'to determine the presence of-lead in paint or other coatings. The sensitivity of the XRF is such that it can establish whether the'lead content in a surface coating is in excess of the Federal EPA and HUD; However, the accuracy of the XRF is not able to establish that there is absolutely no lead in a surface coating. Therefore in accordance with Cal/OSHA requirements additional testing may be required prior to performing "trigger tasks" as outlined in CCR TitIe8, Section 1532.1. . Asbestos Containing Materials Survey: The client is responsible to provide access to the building at the time of the site visit. The client is also responsible to provide access to roofs greater than 15 feet in height. This is not a destructive survey therefore there may be asbestos containing materials in walls or other inaccessible spaces not identified during this survey. Should you have any questions please do not hesitate to call. Prepared and reviewed by /-- Drew Cornelison Certified Asbestos Consultant #02-3087 DHS lnspector/ Risk Assessor # 1-16821 NOTE: California Code of Regulations, Title 8, Section 1529(b)[Cal/OSHA)] states that any manufactured construction material containing more than one percent (> 1.0%) asbestos by weight is considered Asbestos Containing Material (ACM) and must be handled as a hazardous material according to regulation(s). In addition, Section 1529(r) requires that any material that contains more than one tenth of one percent (> 0.1%) is considered Asbestos Containing Construction Material (ACCM) and must be removed by a licensed and registered California asbestos abatement contractor. Air America 'feting 10121 Vivera Drive 'LaMesaCA91941. -' .'-• Customer Zephyr Partnrs I P6ject Name 1811 Oak Street Site Name 1811 Oak Street 11750 Sorrento Valley Road Suite 130 1811 Oak Street 1811 Oak Street San Diego CA 92121 Oceanside CA .. - Action Level 1 000 mg /cm2 Lab 1 000 mg /cm2 - Total Assays Reported 4 109 # Site Room Tested # Wall Component Substrate Paint K Shell L Shell Map Type Result Condition mg/cm2 mi/cni2 2799 0001 Bed 2 12 Return Plaster Satisfactory -0.929 K 0.125 L 0 UNLM Neg 2800 0001 Bed 2 1 3 Stool/Apron Wood Satisfactory 0.290 K 0 169 L 0 UNLM Neg 2801 000! Bed 2 1 3 Window Sash Wood Satlsfactory& 0 459 K 0 099 L 0 UNLM Neg 280 0001 Bed 2 1 4 Stool/Apron Wood - Satisfactory 0 458 K -0 051 L 0 UNLM Neg -. -: 2803 - 0001 - -,. - Bed 2 --- 14 4 - ----,.---.- Window Sash Wood 4 -- -- ------- Satisfactory ;-- 0 232 K 0 229 L .---'----- 0 UNLM --- --- Neg 280' 0001 -. - Bed2 -, 1 - 1 - - - DoorJamb - -.-' --. Wood Satisfactory - 0062 K .- , 0080L 4"- 0 UNLM Neg 2805 000! Bed 2 1 1 Wall Plaster Satisfactory '0 130 1 - 0 074 L S 0 UNLM Neg - 2806 0001 Bed 2 1 1 Shelf Wood Satisfactory 0 002 K -0 074 L 0 UNLIVI Neg - 280 0001 '------ -- Bath 1 --- 1 - 1 Door - Wood Satisfactory ---- -0 309 K 0 082 L 0 .---- ----- UNLM Neg 2808 0001 Bath 1 1 1 Door Jamb Wood Satisfactory 0.361'K 5-0 054 L 0 UNLM Neg Ub 2810 0001 Bath 1 I 3 Wall PlastLi Satisfactoi 0(191 K 0471 L 0 UN LM Neg ____ ft U • __________ __________ ______ 2817 0001 Bed 2 - 1 2 Stool/Apron Wood Satisfactory4 ' -0.003 K 0.127 L 0 UNLM Neg 2813 0001 Bed 2 1 2 Window Sash Wood ,,Satisfactory - 0.224 K A.020 L 0 UNLM Neg 281' 0001 Hallway 1 1 Wall Wood Satisfactory —0.138 K 0.161 L 0 UNLM Neg 2815 0001 Hallway 1 4 Door Wood Satisfactory -0 288 K 0 114 L 0 UNLM Neg 281( 0001 Hallway 1 2 Door Wood Satisfactory -0 029 K 0 087 L 0 UNLM Neg 2S1i 0001 Hallway t 3 Wall Wood Satisfactory -o 095 ic -u 171 L 0 UINLM Neg 2818 0001 Hallway 1 2 Door Jamb Wood I Satisfactory 0,4152 K 0 101 L 0 UNLM Neg 281 0001 Hallway 1 1 Cabinet Wood Satisfactory - -0 145 K 0 250 L 0 UNLM Neg Page 1 of 6 Limit Set 0 Coding Set 8 No Averaging Selected .4 4' Air America Testing 10121 Vivera Drive La Mesa CA 91941 Customer: Zephyr Partners 11750 Sorrento Valley Road, Suite 130 San Diego,CA 92121 Action Level 1.000 mg /cm2 Lab 1.000 mg /cm2 Preliminary XRF Project Name: 1811 Oak Street 1811 Oak Street Oceanside,CA Site Name: 1811 Oak Street 1811 Oak Street Total Assays Reported 109 # Site Room Tested # Wall Component Substrate Paint Condition K-Shell mg/cm2 L-Shell mg/cm2 Map Type Result 2820 0001 Hallway 1 1 Cabinet Wo6d Satisfactory 0.041'K -0.112 L 0 UNLM Neg 2821 0001 Hallway 1 2 Door Wood Satisfactory -0.549 K -0.026 L 0 UNLM Neg 2822 0001 Hallway 1 2 Wall Plaster Satisfactory 0.358 K 0.041 L 0 UNLM Neg 2823 0001 Hallway 1 2 Door Wood Satisfactory 0.003 K -0.034 L 0 UNLM Neg 2824 0001 Hallway 1 2 Door Jamb Wood. Satisfactory 0.184 K -0.066 L 0 UNLM Neg 282 0001 Hallway 1 3 Door Wood Satisfactory 0.156 K 0.104 L 0 UNLM Neg 2826 0001 Hallway 1 4 Door Wood Satisfactory 0.033 K 0.193 L 0 UNLM Neg 282 0001 Hallway 1 4 Door Wood Satisfactory 0.021 K 0.179 L 0 UNLM Neg 2828 0001 Bed I I Door Wood Satisfactory -0.025 K 0.021 L 0 UNLM Neg 2829 0001 Bed 3 1 1 Door Jamb Wood Satisfactory -0.520 K -0.304 L 0 UNLM Neg 2830 0001 Bed 3 1 2 Wall Plaster Satisfactory -0.358 K -0.263 L 0 UNLM Neg 2831 00011 Bed 3 1 13 Wall Wood Satisfactory 0.296 K -0.296 L 0 1 UNLM Neg 283 0001 Bed 3 1 3 Stool/Apron Wood Satisfactory 0.113 K -0.248 L 0 UNLM Neg 2833 0001 Bed 3 1 Ceilin Wall Plaster Satisfactory 0.078 K 0.362 L 0 UNLM Neg 2834 0001 Bed 4 . 1 1 Door Wood Satisfactory 0.092 K -0.230 L 0 UNLM Neg 2835 0001 Bed 4 1 1 Door Jamb Wood Satisfactory 0.422 K -0.233 L 0 UNLM Neg 2836 0001 Bed 4 1 2 Cabinet Wood Satisfactory -0.112 K -0.277 L 0 UNLM Neg 2837 0001 Bed 4 1 2 Door Wood Satisfactory 0.591 K 0.013 L 0 UNLM Neg 28 00011 Bed 4 1 3 Window Sash Wood Satisfactory 0.032 K -0.186 L U UNLM Neg 2839 0001 Bed 4 1 3 Stool/Apron Wood Satisfactory 0.127 K -0.359 L 0 1 UNLM I Neg 2840 0001 Bed 4 1 4 Window Sash Wood Satisfactory 0.368 K -0.016 L 0 UNLM I Neg Page 2 of 6 Limit Set: 0 Coding Set: 8 FNo Averaging Selected Air America Testing 10121ViveraDrive. 'La Mesa, CA91941, ;.. . ... 4 - Customer Zephyr Partners Project Name 1811 Oak Street ) Site Nam 1811 Oak Street 11750 Sorrento Valley Road, Suite 130 .5 1811 Oak Street ' 1811 Oak Street San Diego CA 92121 Oceanside CA Action Level 1 000 mg /cm2 Lab 1 000 mg /cm2 .. - e -. Total Assays Reported 109 • Paint K Shell L Shell Map - # Site Room Tested # Wall Component Substrate Condition Type Result mgjcni2 mg/cm2- 284 0001 Bed 4 1 4 Wood Satisfactory 0298 K ' 0398 L 0 UNLM Neg 2843 0.001 Bath 2 1 1 Door-,Wood Satisfactory 0 518 K 0. 075 L 0 UNLM Neg 284 0001 Bath ,2 U. 1 Door Jamb Wood Satlsfactor) 0 652 K 0 135 L 0 UNLM Neg IN 2846 0001 Bath 2 1 2 Wall -, Plaster Satisfactory rO 049 K 0 104 L 0 UNLM Neg. 284 0001 Bath 2 1 3 StoollApron Wood Satisfactory 0 532 K 0 165 L 0 UNLM Neg 284 0001 Bath 2 0 1 3 Wall ' Plaster Satisfactory " 0 271K --0.'137 L 0 UNLM Neg t p 73 2851 0001 Bed 4 1 1 Door - Wood • Satisfactor' -0 113K -0 067 L 0 UNLM Neg 285 0001 Bed '4 L 1 1 Door Jamb Wood , Satisfactory 0 243 K > 0 144 L 0 UNLM Neg 2853 0001 Bed 4 . 1 1 Wall -. Plaster - Satisfactory ' 0 360 K 0 021 L 0 UNLM Neg 1854 0001 Bed 4.. 1 2 Stool/Apron Wood Satisfactory 0 624 K 0 101 L 0 UNLM Neg1 285s 0001 Bed 4 - -1 2 Window Sash Wood Satisfactory -0 321 K -6,251'L 0 UNLM Neg ;856 --0001 Bed 4 1 3 Wall Plaster Satisfactory '-O 147'.:K. 0.007.L-,, 0 UNLM Neg 2857,'0001 Bed 4 ' 1 4 Door Wood Satisfactory -0 025 K -0.152 L 0 UNLM Neg 2858 0001 Living Room 1 1 Wall Wood Satisfactory -0 426 K -0.041,L 0 UNLM Neg 2859 0001 Living Room 1 2 Stool/Apron - Wood Satisfactory, 0.422 K 0 089 L 0 UNLM Neg 2860 0001 Living Room i 2 Wall - Plaster Satisfactory -1 239 K 0.459 L 0 UiNLM Neg 2861 0001 Living Room 1 3 Door Wood Satisfactory 0.2156 K -0.175 L 0 UNLM Neg 286 0001 Living Room 1 4 Door Wood Satisfactory 0 049 K 0 149 L j. 0 UNLM Neg Page 3 6 Limit Set 0 Coding Set 8 No Averaging Selected - I : Air America Testing 10121 Vivera Drive La Mesa CA 91941 Customer Zephyr Partners Project Name 1811 Oak Street Site Name 1811 Oak Street 11750 Sorrento Valley. Road Suite 130 et 1811 Oak Stre r 1811 Oak Street San Diego CA 92121 Oceanside CA Action Level 1 000 mg /cm2 Lab1 000 mg /cm2 Total Assays Reported 109 # Site Room Tested # Wall Component Substrate Paint OfluitiOfl K Shell L Shell Map ype Type, Result mg/cm2 2863 0001 Dining Room 1 1 Wall Wood Satisfactory -0 141 K -0 .063,L 0 UNLM Neg 286 0001 Dining Room 1 1 Stool/Apron Wood Satisfactory 0 682 K 0,690't" 0 UNLM Neg 2865 0001 Dining Room 1 2 Cabinet Wood Satisfactory -0324 K 0 110 L 0 UN L14 Neg 2866 0001 Dining Room 1 3 Door Wood Satisfactory -0 520 K 0 279 L 0 IJNLM Neg 286 0001 Dining Room 1 3 Wall Plaster Satisfactory 0 036 K 0 144 L , 0 UNLM Neg 2868 0001 Dining Room 1 3 Cabinet Wood Satisfactory -0 135 K 40511U,0 UNLM Neg 2869 0001 Dining Room 1-3.,Cabinet Wood Satisfactory 0 125 K 0 016 L 0 UNLM Neg 2870 0001 Kitchen 1 2 Cabinet Wood Satisfactory -0 116 K -0 305 L 0 UNLM Neg Man Nov Im- M Lii 1 U) L- wo 288 0001 Exterior, 1 3 Wall Wood Satisfactory 0.089 K 0250 L 0 UNLM Neg 2883 0001 Exterior 1 3 Wall Wood Satisfactory -0 339 K 0 228 L 0 UNLM Neg Page 4 of 6 Limit Set 0 Coding Set 8 No Averaging Selected Air America Testing 10121 Vivera Drive La MeSaLA 9 t94 •- - -- -. - ' -. Cstomer Zephyr Paners Project Name 1811 Oak Street Site Name 1811 Oak Street 1,750'! Valley Road Suite 130 1811 Oak Street 1811 Oak Street San Diego CA 92121 Oceanside CA Action Level 11.000 mg /cm2 Lab 1 000 mg /cm2 Total Assays Reported 109 # Site I Room Tested # WalF Component Substrate Paint Condition K Shell mg/cm2 L Shell mg/cm2 Map Type Result '- C 45 i1j 4 L f n- 2889 0001 Exterior I -I Nk all \\ (u)d Satisfactory -0 040 K -0-088 L I INLM Neg 4 41 289 0001 Exterior 1 1 Door Jamb Wood Satisfactory 0 416 K 0 170 L 0',UNLM:,Neg 2893 0001 Exterior 1 1 Wall Wood Satisfactory 0 199 K -0.242j_ U UNLM Nçg I T14 - ;,- Jr 289 0001 Exterior I 4 Window Sash Wood Satisfactory 0 079 K -0 201 L 0 EJNLM Neg Jr 2900 0001 Exterior 1 2 Wall Wood Satisfactory -0 025 K -0 053 L 0 UNLM Neg 2901 0001 Laundry Room 1 1 Door Wood Satisfactory -0 052 K 0 185_LL0 UNLM Neg 2902 0001 Laundry Room 1 2 Door Wood Satisfactory 0 100 K '--0.082 L 0 (iiN LM Neg 290 0001 Laundry Room 1 2 Door Jamb Wood Satisfactory 0 106 K .,,-0.266 L 0 UNLM Neg 290' 0001 Laundry Room 1 3 WaIl Plaster - Satisfactory 0 032 K -0 054 L 0 UNLM Net" Page 5 of 6 Limit Set 0 Coding Set 8 No Averaging Selected Air America Testing 10121 Vivera Drive Preliminary XRF . La Mesa CA9l94l . . Customer: Zephyr Partners Project Name: 1811 Oak Street Site Name: 1811 Oak Street 11750 Sorrento Valley Road, Suite 130 1811 Oak Street . 1811 Oak Street San Diego,CA 92121 Oceanside,CA Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 - ,.-- Total Assays Reported 109 # Site Room' Tested Wall Component Substrate Paint Condition K-Shell mg/cm2 L-Shell mg/cm2 Map #Type Result 2905 0001 Laundry Room 3 Door Wood Satisfactory -0.263 K -0.169 L 0 UNLM Neg 2906 0001 Office 1 1 Door Wood Satisfactory -0.362 K 0.055 L 0 UNLM Neg 290 0001 Office . 1 1 Wall Plaster Satisfactory 0.296 K -0.073 L -0 UNLM Neg 2908 0001 Office . 1 4 Wall . Plaster Satisfactory -0.238 K - -0.257 L 0 UNLM Neg r -- Page 6 of 6 Limit Set: 0 Coding Set: 8 No Averaging Selected Air America Testing '10121 Vivera Drive Con m fired Positives La-Mesa CA 91941 - - Customer Zephyr Partners Project Name 1811 Oak Street Site Name 1811 Oak Street 11750 Sorrento Valley Road Suite 130 1811 Oak Street 1811 Oak Street San Diego CA 92121 Oceanside CA Actio n Level 1 1 000 mg /cm2 Lab 000 mg /cm2 Total Assays Reported 28 MW - ME -- II!PlL Ib MM u__'111, MR CUR- ENJ gg Lag-Jr __ 1D I All so oI&— Elm -r3 j uerlo If Ml MENM RONNIE M_ Page 1 of 2 Limit Set 0 Coding Set 8 No Averaging Selected I Air America Testing 10121 Vivera Drive -- -- * --' -. 4 ) 4 -La'MesaCA91941 4 4, Customer Zephyr Partners 4 Project Name 1811 Oak Street - Site Name 1811 Oak Street 11750 Sorrnto Valley Road Suite,130 1811 Oak Street , 1811 Oak Street San Diego CA 92121 Oceanside CA , — Action Level 1 000 mg /cm2 Lab 1 000 mg /cm2 Total Assays Reported 28 # Site I Room Tested # Wall Component Substrate ' .Paint Condition K Shell L Shell Map Lab Result mglcm2 mg/cm2 Oft LIT - 1 MIN 11 I Pom - 4 4. -. '4+., _4 3. .— _+44 -' ;'- 4. — s 3. -.3. •4. ' i 1 • - " ' 4 - * .- , 4) • - I 8 '4 4• 4. +3 t3._ -S.- : :: I C .4 4 -4 - 4- 5 4 3.•+' ,- 44 .44,. -+4. .• -4 .4 ' — - 9 I - f - 3. 3. * __._; & — . • - . 4 * 5. 4 4+ 4+ — 4-' 5. +4 4 4 •.-4-S• r - .- ,, •5 - 4+- - '-:'-. - - •-. ,--- - -- - 4 - -- ----'.---: _-; -- 4 Page 2 of 2 Limit Set:'0 Coding Set 8 J ,Nq Averaging Selected Air America Testing 10121 Vivera Drive La Mesa CA 91941 Customer: Zephyr Partners 11750 Sorrento Valley Road, Suite 130 San Diego,CA 92121 Action Level 1 000 mg Icm2 Lab 1.000 m /cm2 Preliminary XRF Project Name: 1811 Oak Street 1811 Oak Street Oceanside,CA Site Name: 1811 Oak Street, Back House 1811 Oak Street, Back House Total Assays Reported 22 # Site Room Tested # Wall Component Substrate Paint Condition K-Shell mg/cm2 L-Shell mg/cm.2 Map Type Result 2911 0002 Living Room 1 1 Door Wood Satisfactory -0.154 K -0.120 L 0 UNLM Neg 291 0002 Living Room 1 1 Stool/Apron Wood Satisfactory 0.247 K -0.385 L 0 UNLM Neg 2913 0002 Living Room 1 2 Door Wood Satisfactory -0.128 K 0.004 L 0 UNLM Neg 2914 0002 Living Room 1 2 Door Jamb Wood Satisfactory -0.129 K 0.132 L 0 UNLM Neg 2915 0002 Living Room 1 2 Door Wood Satisfactory -0.467 K -0.120 L 0 UNLM Neg 2916 0002 Living Room 1 2 Wall Wood Satisfactory 0.276 K 0.033 L 0 UNLM Neg 2917 0002 Living Room 1 2 Wall Wood Satisfactory -0.657 K -0.108 L 0 UNLM Neg 2918 0002 Living Room 1 2 Cabinet Wood Satisfactory 0.102 K -0.166 L 0 UNLM Neg 2919 0002 Living Room 1 3 Wall Wood Satisfactory 0.196 K 0.061 L 0 UNLM Neg 2920 0002 Living Room 1 3 Wall Wood Satisfactory -0.390 K -0.146 L 0 UNLM Neg 2921 0002 Living Room 1 4 Wall Wood Satisfactory -0.019 K 0.299 L 0 UNLM Neg 2922 00021 Living Room 11 4 Wall Wood Satisfactory 0.289 K -0.147 L 0 UNLM Neg 2923 0002 Bath 1 1 1 Door Wood Satisfactory -0.039 K 0.173 L 0 UNLM Neg . 2924 0002 Bath 1 1 1 Wall Wood Satisfactory 0.000 K -0.199 L 0 UNLM Neg 2925 0002 Bath 1 1 4 Wall Wood Satisfactory -0.199 K 0.050 L 0 UNLM Neg 2926 0002 Exterior 1 1 Door Wood Satisfactory -0.639 K -0.031 L 0 UNLM Neg 2928 0002 Exterior 1 1 Door Jamb Wood Satisfactory 0.973 K 0.115 L 0 UNLM Inc] 2929 0002 Exterior 1 1 Door Jamb Wood Satisfactory -0.194 K -0.802 L 0 UNLM Neg 2930 0002 Exterior I I I Stool/Apron Wood Satisfactory 0.433 K -0.157 L 0 UNLM Neg 2931 0002 Exterior 1 1 Eaves Wood Satisfactory -0.207 K 0.037 L 0 UNLM Neg 2932 0002 Exterior 1 1 Deck Wood Satisfactory 0.149 K 0.158 L 0 UNLM Neg Page 1 of 2 Limit Set: 0 Coding Set: 8 No Averaging Selected Air America Testing 10121 Vivera Drive Preliminary )( Là Mesa CA 91941 Customer: Zephyr Partners Project Name: 1811 Oak Street 11750 Sorrento Valley Road, Suite 130 1811 Oak Street San Diego,CA 9212 1 Oceanside,CA Action Level 1.000 mg /cm2 Lab 1.000 mg /cm2 # Site Room Tested # VuIl Component Substrate Paint Condition 2933 0002 Exterior I I Deck Wood Satisfactory 0.032 K -0.118 L 1 0 UNLM Neg mg/cm2 Type Result Site Name: 1811 Oak Street, Back House 1811 Oak Street, Back House Total Assays Reported 22 K-Shell; L-Shell Map mg/cm2 EMC LABS, INC. • . ' .. Laboratory Report 9830 S. 51st Stret, Suite 13109, Phoenix, AZ 85044 - 0130867 Phone: 800-362-3373 or 480-940-5294 -Fax: (480) 893-1726 - Bulk Asbestos Analysis by Polarized Light Microscopy S NVLAP#101926-0 Client: AIR AMERICA TESTING - . Job#/P.O'.#: Address: 10121 VIVERA DR Date Received: 08/27/2013 LA.MESACA 91941 5 Date Analyzed: 09/10/2013 Collected: 08/15/2013 . '. Date Reported:. . 09/10/2013 Project Name: 1811 OAK AVE . . ' EPA Method: EPA 600/R-93/116 Address: . S . Submitted By: DREW CORNELISON Collected By: .. . . Lab ID Sample Layer Name / Asbestos Asbestos Type Non-Asbestos Client ID Location Sample Description Detected ' (%), Constituents -0130867 -001 . ' LAYER 1 - No None Detected 01 Plaster-Scratch Coat, Lt. Gray, . . Gypsum Quartz , . .. . Perlite Carbonates - •. , - : . Mica l00% - -, LAYER 2 -. ' . No None Detected , - Plaster-Finish Coat, Cream . Carbonates • - -. .- . .. Gypsum - , Quartz * . .. Mica - . . S . .• Binder/Filler 100% 0130867-002 . LAYER 1 • No None Detected . 02 . Plaster-Scratch Coat, Lt. Gray Gypsum Perlite Quartz Binder/Filler ' 100% LAYER 2 . No None Detected S S -Pinter-Finish Coat, Cream Carbonates Gypsum . Quartz Mica • - - . .• . . - ' Binder/Filler 100% 0130867-003 . • LAYER 1 No None Detected 03 Plaster-Scratch Coat, *,Lt. Gray- ., .• • Gypsum Perlite. I. - • '. -. Quartz . - . -- , S • 5 - •, - l . . , Binder/Filler . 100% - LAYER 2'. . No , None Detected . • - . . Plaster-Finish Coat, Cream . - • , Carbonates - - S - • Gypsum - , :. • • . . Quartz - - • - Mica -• - • • . • . • , Binder/Filler - • 100% . - .• . . • . . - • . - - - --'j Page lof4 -• * •• - I' • •0 S y EMC LABS, INC - Laboratory. Report 9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 0130867 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP#101926-0 . . Client: AIR AMERICA TESTING . , Job#/P.O.#: Address: 10121 VIVERA DR . Date Received: .08/27/2013 LA MESA CA 91941 Date Analyzed: 09/10/2013 Collected: 08/15/2013 . . . Date Reported: 09/10/2013 Project Name: 1811 OAK AVE . ' . . EPA Method: . EPA 600/R-93/116 Address: .' . . . . , Submitted By: DREW CORNELISON Collected By: Lab ID Sample Layer Name I Asbestos Asbestos Type. Non-Asbestos Client ID Location Sample Description Detected (%) Constituents 0130867-004 M. BATH LAYER 1 No None Detected Cellulose Fiber. 17% 04 Sheet Vinyl, Beige . . . Fibrous Glass 3% Carbonates • .. . . Quartz. Binder/Filler 80% LAYER 2 No None Detected . Cellulose Fiber 2% Mastic, Yellow . Carbonates Quartz Binder/Filler 98%' LAYER 3 No None Detected Cellulose Fiber 15% Sheet Vinyl, Off White .. . Fibrous Glass . . 5% Carbonates Quartz . S Binder/Filler 80% 0130867-005 H. BATH LAYER .1 No None Detected - .5 05 Sheet Vinyl, Lt. Brown/ Gold - . , Carbonates - Quartz Binder/Filler ' 100% LAYER 2 No - None Detected Cellulose Fiber <1% Mastic, Clear/Yellow . - Carbonates Quartz Binder/Filler 99% LAYER 3 • No None Detected . Cellulose Fiber 70% Backing, Brown ' . . - . . . - - - Synthetic Fiber 15% - Gypsum Binder/Filler 15% LAYER 4 • No None Detected Cellulose Fiber 3% - Mastic, Brown - . . Synthetic Fiber 1% - Gypsum • - Carbonates -• , , - S , Quartz .. - . . . Binder/Filler • - • 96% - . .- . - Page 2of4 •' EMC LABS, INC. Laboratory Report 9.830 Phoenix, AZ 85044 0130867 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP#101926-0 Client: AIR AMERICA TESTING Job# / P.O. #: Address: * 10121 VIVERA DR Date Received: 08/27/2013 LA MESA CA 91941 Date Analyzed. 09/10/2013 Collected: 08/15/2013 Date Reported: 09/10/2013 Project Name: 1811 OAK AVE EPA Method: EPA 600/R-93/116 Address: . Submitted By: DREW CORNELISON Collected By: Lab ID Sample Layer Name I Asbestos Asbestos Type Non-Asbestos Client ID Location Sample Description Detected . (%) Constituents 0130867-006 H. CLOSET Insulation Pad, Off White Yes Chrysotile. 40% Cellulose Fiber 45% 06 , Gypsum Carbonates -Mica 4 - Binder/Filler 15% 0130867-007 KITCHEN • LAYER 1 Yes Chrysotile 15% 07 - Sheet Vinyl, Beige/ Off White - Gypsum Carbonates - Quartz - - Binder/Filler 85% • LAYER 2 - Yes Chrysotile 3% Cellulose Fiber 1% Mastic, Yellow . Gypsum Note: Difficult to separate Carbonates adjacent layers • Quartz - - Binder/Filler 96% - LAYER 3 No None Detected • Mastic, Gray . - Carbonates - •. - , - Binder/Filler • 100% 0130867-008 WINDOW • Window Putty, Beige/ Tan No None Detected 08 . - ,' Carbonates Quartz Binder/Filler • 100% 0130867-009 WINDOW Window Putty, Beige/ Tan No None Detected 09 • . - Carbonates . . . • Quartz • - , Binder/Filler 100% * 0130867-010 WINDOW Window Putty, Beige/Tan No None Detected 10 : - • Carbonates - ,- Quartz • Binder/Filler - 100% • • Page 3of4 • EMC LABS, INC. Laboratory Report 9830 S. 51st Street, Suite B109, Phoenix; AZ 85044 0130867 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726 - Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP#101926 0 Client AIR AMERICA TESTING Job# / P.O. # Address 10121 VIVERA DR Date Received 08/27/2013 LA MESA CA 91941 Date Analyzed: 09/10/2013 Collected: 08/15/2013 Date Reported: 09/10/2013 Project Name: 1811 OAK AVE . EPA Method: EPA 600/R-93/116 Address: :' Submitted By: DREW CORNELISON Collected By Lab ID Sample Layer Name I Asbestos Asbestos Type Non-Asbestos Client ID Location Sample Description Detected (%) Constituents 0130867-011 ROOF LAYER 1- No None Detected - Fibrous Glass 20% 11 Shingle, Black/Tan/ Red carbonates - - t •, ' Quartz Binder/Filler 80% LAYER 2 No None Detected Coating, White/ Off White , Carbonates • , Quartz - Binder/Filler 100% 0130867-012 LAUNDRY LAYER 1 No None Detected 12 Floor Tile, Lt. Green Carbonates Quartz Binder/Filler 100% LAYER 2 Yes Chrysotile 8% Cellulose Fiber 2% Mastic, Yellow/ Black Carbonates Quartz Binder/Filler •- 90% Analyst - Kenneth Scheske Signatory - Lab Director. - Kurt Kettler Distinctly stratified, easily separakie layers of samples are analyzed as snbnanrples of the whole and are reported separately for each discernible layer. All analyses are derived from calibrated visual estimate and measured in area percent unless otherwise noted. The report applies to the standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicated or representative of the qualities of the lot from which the sample "a taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. These reports are for the exclusive use of the addressed client and that they wrll not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our canto without special written permission. The report shall not be reproduced except in lull, without written approval by our laboratory. The samples not destroyed in testing are retained a manimurs of thirty days. The laboratory measurement 01 uncertainty for the test method is approximately less than I by area percent. Accnedrted by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program ror selected test method for asbestos. The accreditation or any reports generated by this laboratory in no way constitutes or implies product certification, approval, or endorsement by the National Institute of Standards and Technology. The report mast not be used by the dent to claim product certification, apprunal, or endorsement by NVIAP. NtST. or any agency of the Federal Government. Polarized Light Microscopy may not be consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. - -u EMC LABS, INC Laboratory Report 9830 S. 51st Street, Suite 6109, Phoenix, AZ 85044 0130868 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726 Bulk Asbestos Analysis by Polarized Light Microscopy NVLAP#101926-0 Client: AIR AMERICA TESTING Jób# / P.O. #: Address: 10121 VIVERA DR Date Received: ' 08/27/2013 LA MESA CA 91941 Date Analyzed: 08/30/2013 Collected: 08/15/201,3 Date Reported: . 08/30/2013 Project Name: 1811 OAK AVE, BACK UNIT EPA Method: EPA 600/R-93/116 Address: Submitted By: DREW CORNELISON Collected By: Lab ID Sample Layer Name I Asbestos Asbestos Type Non-Asbestos Client ID Location Sample Description Detected (%) Constituents 0130868-001 KITCHEN LAYER 1 Yes Chrysotile 3% 01 'Floor Tile, White/ Off White Carbonates * - . Gypsum Quartz Binder/Filler , 97% LAYER 2 Yes Chrysotile 5% Talc 3% Mastic, Black! Yellow Carbonates Gypsum - Quartz Mica Binder/Filler 92% 0130868-002 ROOF Shingle, Black/. Tan No, None Detected , Cellulose Fiber 30% 02 Gypsum Carbonates Quartz Binder/Filler 70% 0130868-003 ROOF Roof Mastic, Black! Gray Yes Chrysotile 5% Cellulose Fiber 5% 03 - ' . Carbonates Gypsum Quartz Binder/Filler , 90% jz 51- Analyst - Kurt Kettler - Signatory- Lab Manager - Ken Scheske istlectty stratified, easily separable layers of samples are analyzed as subsamptes of the whole and are reported separately For each discernible layer. atfl analyses are derived from calibrated visual estimate and measured area percent unless otherwise noted. The report applies lathe standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicated or representative of the qualities at the Fat rem which the sample was taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. These reports are for the exclusive use of the addressed client and rat they will not be reproduced wholly or in part For advertising or other purposes over our signature or in connection with our Caere without special smitten permission. The report shall not be reproduced except in tutl, without nrtten approval by our laboratory. The samples not destroyed in testing are retained a maximum at thirty days. The laboratory measurement of uncertainty For the test method Is approximately toss than I by area percent. acrediled by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program For selected test method for asbestos. The accreditation or any reports generated by this laboratory in no way oostilutes or implies product certification. approval, or endorsement by the National Institute of Standards and Technology. The report must not bossed by the client to claim product certitication, approval, or endorsement NVLAP. NIST, or any agency of the Federal Government. Polarized Light Microscopy may not be consistently reliable in detecting asbestos in floor coverings and similar nov-friable organically bound materials. State of California—Health and Human Services Agency California Department of Public Health LEAD HAZARD EVALUATION REPORT Section 1 - Date of Lead Hazard Evaluation 8/15/2013 Section 2 - Type of Lead Hazard, Evaluation (Check one box only) jj Lead Inspection Risk assessment Clearance Inspection Other (specify) Section 3 - Structure Where Lead Hazard Evaluation Was Conducted Address [number, street, apartment (if applicable)] City County Zip Code 1811 Oak Avenue and Back House Carlsbad San Diego 92008 Construction date (year) Type of structure Children living in structure? of structure III Multi-unit building School or daycare Eli Yes LI No 1952 Single family dwelling LI Other Don't Know Section 4 - Owner of Structure (if business/agency, list contact person) Name Telephone number Zephyr Partners, AU: Ms. Mandy Miller 760-451-2515 Address [number, street, apartment (if applicable)] City State Zip Code 11750 Sorrento Valley Road, Suite 130 San' Diego. CA 92121 Section 5 - Results of Lead Hazard Evaluation (check all that apply) El No lead-based paint detected Intact lead-based paint detected El Deteriorated lead-based paint ditected El No lead hazards detected El Lead contamtnated dust found El Lead contaminated soil found 2 OtherLead Conlaining ceramic Tile Section 6 -- Individual Conducting Lead Hazard Evaluation Name Telephone number Patrick Drew Cornelison . 619-971-0008 Address [number, street, apartment (if applicable)] City State Zip Code 10121 Vivera Drive La Mesa - CA 91941 CDPH certification number 16821 Signature F9/12/2013 Date Name and CDPH certification number of any other individuals conducting sampling or testing (if applicable) Section 7 - Attachments A foundation diagram or sketch of the structure indicating the specifc locations of each lead hazard or presence of lead-based paint; Each testing method, device, and sampling procedure used; All data collected, including quality control data, laboratory results, including laboratory name, address, and phone number First copy and attachments retained by inspector Third copy only (no attachments) mailed or faxed to: Second copy and attachments retained by owner California Department of Public Health Childhood Lead Poisoning Prevention Branch Reports 850 Marina Bay Parkway, Building P, Third Floor Richmond, CA 94804-6403 - Fax: (510) 620-5656 CDPH 8552(6/07) Raenette Abbey To: Mandy Miller Subject: RE: Notice of Discontinuance 1811 Oak Ave Thank you Mandy, . I made a copy of the SDG&E letter. No need to bring it in. Everyone has signed off on this demo permit, as of this afternoon. The demo permit fee is $65.00, the storm water permit is $221.00. Do you have an emergency contact name and number that I can type in to the storm water permit for this demolition process? Thank you, Raenette Abbey 760 602-271,8 From: Mandy Miller [maiito:mandy@zephyrpartners.com] 0 Sent: Friday, April 25, 2014 11:58 AM TO: Raenette Abbey Subject: Fwd: Notice of Discontinuance 1811 Oak Ave Mrs. Abbey, You assisted me on the demo permit application for 1811 Oak Ave on Tuesday of this week. Below is an email from SDG&E providing the "Notice of Discontinuance" showing that gas and electric has been removed. Do you need me to bring this letter in? Our planner, Chris Garcia signed off on the application Can you tell me what other steps I need to take to be approved for the permit? Also, what is the fee? Thank you, *****.WE HAVE MOVED. PLEASE NOTE OUR NEW ADDRESS EFFECTIVE APRIL 4, 2014**** MANDY MILLER I PROJECT MANAGER 700 2ND STREET! ENCINITASI CA 92024 I OFFICE! 858.461.5127 I CELL-1 760.580.2508 MAN DY(ZEPHYRPARTNERS COM I WWW ZEPHYRPARTNERS COM This communication may contain information which is privileged and/or confidential under applicable law. Any dissemination, copy or disclosure, other than by the intended recipient, is strictly prohibited. If you have received this communication in error, please immediately notify us via return e- mail to matciezephyrpartners.com and delete this communication without making any copies. Thank you for your cooperation. 0 0 Begin forwarded message: 1 I • I 8 p t H In 0 0 -I NM CD .\0 m m m ;u fl: - — Z . -ç 0 -4 -) CD g - • - (I) • •••• 0 - 1' j G) i'-' • 2 m CD * II Development Services DEMOLITION , Building Division CITY OF REQUIREMENTS 1635 Faraday Avenue CARLSD/-%D B 9 760-602-2719 :' •' •. www.carisbadca.gov ,•/ ••--• The .fbllowir{ items mustbec&npleted prior to issuanceof ademolition permit. 0 Completed only be issued to , the owner of the property or the State Licensed contractor that is doing 'the work - An application andfô be 'submitted Building, Planning, Engineering and i divisionswillreviw and comment/approve the submittal 1 i' i-i 0 ' Letter from Property Owner: The contractorMust'rovide a letter, signed and dated by the property owner, giving permission for the building to be demolished. r Demolition Asbestos Certification: This certification must be coñipleted, signed and have the correct square footage 'of the structure being demolished, as well as its use If asbestos remediation is required, proof of application to the APCD must also be provided. Asbestos or 'lead paint remediation must occur' prior to issuance of a demolition permit by the City. San Diego Gas and Electric Applicant must provide a letter from San Diego Gas and Electric stating that the utilities have been disconnected Additional items that will be required,or discussed in review are: 1.' Green Building Code: Comply with • waste disposal and recycling management program (50%) Sec 5A081./ 4,408 2. Water Agency: Arrange for' appropriate Water Agency, to remove water meter unless construction of. replacement structure is to begin ' shortly. L.5 3 The Planning Division will determine if the structure is in the Villad Review area, the South Carlsbad Review area, the Coastal, Zone or if discretionary mitigation conditions appIy. (760) 602-4610- 4. The Land Development '& Engineering Division will determine if a . • Haul Route, Right-of-Way Permit or Storm Water, Permit is required. • (760) 602-2773, 602-2775 or 602-2741. _\ \ . " ' • 's '\5. FureDepartment may need the use of the building for training \ purposes (760) 602-4665 B-9 • - • Page 1 of 2 - • Rev. 06/2013 DEMOLITION ASBESTOS CERTIFICATION * ADDRESS 1 LYI "L.. }ç\JQ1 1'-( \1.2a(\ CJ\ '1 1J.-) USEOFBUILDINGTOBEDEMOLISHED SirlQ -Qlrrh k1 1A r" SQUARE FEET X NUMBER OF STORIES PROPERTY OWNER ______________ ADDRESS D Q$1 cr flA-q1PHONE -l2i APPLICANT: - -k. Nk k ADDRESS: - PHONE Se-.rvA Section 19827 5 of California Health and Safety Code states in part "A demolition permit shall not be issued by any city as to any building or other structure except upon receipt from the permit applicant of a copy of each written asbestos notification regarding the building that his been required to be submitted to the United States Environmental Protection Agency or to a - designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to thatpart. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project." - - - As applicant for a demolition permit in the City of Carlsbad, I certify that, I have read the excerpt from Section .19827.5 of the Health and Safety Code provided above; the information I have provided on this form is true and correct; and I further certify the following: On the attached 2.(o pages are copies of all written asbestos notifications I regarding the above referenced, building that are required to be submitted to the United States Environmental Protection Agency or to Pa?t 61 of Title 40 of the Code of Federal. Reg ulations,'or successor to that part. ( ) I deálare that the written asbestos notifióation is not applicable to the - . . scheduled demolition project. 1 rft's Da' CB140907 1811 OAKAV v. tlt DEMOLISH EXISTING 2177 SF HOUS r - 450 SF GARAGE & GEODESIC DOME IN REAR YARD L.. ••• _____ _____ ________ no - I Fl al lnsDection required by g OA4 El Fire 0 jq/ DISSUED I0CV Approved Date By, BUILDING PLANNING ENGINEERING FIRE Expedite? V N AFS Checked by: - HazMat APCD Health Forms/Fees Sent Rec'd Due? By Encina V Fire V N HazHealthAPCD Y PE&M - Y School - - Y N Sewer V N Stormwater V N - Special Inspection V N CFD:V N LandUse: Density: ImpArea: FY: Annex: Factor: PFF: V N Comments - Date Date • Date Date Building - Planning Engineering Fire - .Done 5' Jone UDone 13 Done 0 Done - •---- -. -:- -:- ', -- --. - I 1. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-26-2014 Permit No: 0B141906 Building Inspection Request Line (760) 602-2725 Job Address: 1811 OAK AVCBAD Permit Type: PME Status: ISSUED Parcel No: 2050800200 Lot #: 0 Applied: 08/04/2014 Entered By: RMA Reference #: - . Plan Approved: . 08/04/2014 PC #: Issued: 08/04/2014 Inspect Area: Project Title: ZEPHYR HOMES-TEMP POWER POLE- 200 AMP- FOR NEW CONSTRUCTION Applicant Owner DIAMOND POWER SERVICES INC ZEPHYR CUSTOM HOMES II L LC 807 E MISSION RD . 11750 CORRENTO VALLEY RD #103 SAN MARCOS CA 92069 . SAN DIEGO CA .92121 760-744J191 Plumbing Fees . . . $O.0O Electrical Fees : $158.00 Mechanical Fees . $0.00 Other PME Fees $0.00 TOTAL PERMIT FEES • $158.00 Total Fees: $158.00 Total Payments TO Date: $158.00 Balance Due: $0.00 FINAL APPROVAL . Inspector: . Date: •T3o' Clearance: NOTICE: Please take NOTICE that approval of your project includes the imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred.to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required informationwith the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subseqUent legal action to attack, review, set aside, void, or annul their imposition. • • S • You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or-as to which the statute of limitations has previously otherwise expired. ITHE FOLLOWING APPROlA1iSRQUlRE.D PRIOR TO PERMIT ISSUANCE: PLANNING DENGINEERING DBUILDING. DFIRE [:]HEALTH DHAZMAT!APCD_• Building Permit Application Plan Check No ~2!4 / 1t'6 - . 1635 Faraday Ave.,Carlsbad, CA 92008 Est. Value.' - C I I Y' OF Ph:760-602-2719 Fax: 760-602-8558 CARLSBAD ematIbudingcasbadcagov -i IM-= JOB ADDRESS , /i LOT # - - .. SUITE#/SPACE#/UNIT# CT/PROJECT # . id:quare Feet DESCRIPTION OFWORK ojctedA,eaj L PHASE # a OF UNiTST#BEDROOMS # BATHROOMS TENANT BUSINESS NAME . ., - CONSTR. TYPE 0CC. GROUP a d4 7c? EXISTING USE PROPOSED USE GARAGE (SF).: PATIOS (SF) FIREPLACE AIR CONDITIONING - YES #. NOol FIRE SPRINKLERS1DECKS(SF) YES IINOIJ YESENO APPLICANT NAME . . . - : .L-- I : ' . Primary Cntact PROPERTY OWNE ADDRESS ADDRESS - CITY , 5 . STATE . ' .ZIP . CA CITY : - STATE .. ': ZIP PHO 8o2_5o' FAX PHONE , FAX EMAIL EMAIL EMAIL Ile; , (9//L - DESIGN PROFESSIONAL - - - - -"' - - CONTRACTOR, S:NAJa1E'. S - ADDRESS, " . ••- - - - . ':. - - -. . -. ADD S '. CITY - - ' . STATE' . - ZIP . - -. -. '-n- -, - - •- ..• - . CITY . . -- - - STATE ZIP - ~41i1W'C -a - .y PHONE - - - FAX - • FAX -. -- ,. . PHONE - - - FAX -- - -- - EMAIL - -. -, - . - - - . - -; :-' '• STATE LIC. a 1q 1jU, cle&S CQ Y-.. - STATE LIC.# - - - - - - .5 .. -. -- - - ':. -.. CLASS ...'- CITY BUS. LiCe (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alt applicant for such permit to flea signed statement that he is licensed pursuant to the provisions of the C Business and Professions Code) or. that he is exempt therefrom, and the basis for the alleged exemption. civil penalty of not more than five hundred dollars ($500)(. - - o Is' Compensation Declaration: I hereby affirm under penalty of e,juiy one of the following declarations I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wort for which this permit is issued. I have and will maintain workers,cornpgns' on as required by ,ction 370001 the Labor Code for the performan of the work or whj(?h tris permit is issued My workers compensatjqp in)dn/amer and policy number are: Insurance Co./74- ............Policy No. CnJ ( fO'f. i 7 ? I . Expiration This section need not be completed if the permit is for one hundred dollars ($100) or less.- - . - - [J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' corn ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hunred thousajid dollars (&100,000), in addition to the cost of compensation, d ges as provided or Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE S ' '\AGENT -- DATE Ito thereby affirm (hat! am exempt from Contractor's License Law for the following reason:,, [] I, as owner of the'property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however: the building or improvethent is sold withiri one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). [] I, as owner of the.roperty, amexciusively contracting with licensed contractor to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucensh Law): . . El .. ':. . I am exempt under Section Business and Professions Code for this reason: .. . . . - 1. I personally plan to provide the major labor and materials for construction of the roposed property improvement IlYes DNo . 2. 1. (have I have not) signed an application for a building permit for the proposed work.' ' ,.• .. .. . .,. . . . I have contracted with the following person (firm) to provide the proposed constructioi (include' name address / phone / ontractors' license number): I plan to provide portions of the work, bull haye hired the followingpersn to coordinate, supervise and provide the major work (include name /,address / phone /contractors' license number): - 5 I will provide some of the work bull have contracted (hired) the following persons to provide the work indicated (include name / address / phone I type of work) 'PROPERTY OWNER SIGNATURE - . . - . . - •- . -- []AGENT . DATE - .. - :- - ' ' 55• , . ....- or, improve, oemoiisn or repair any structure, prior to its issuance, also requires tne :ontractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 of the Any violation of Section -7031.5 by any applicant for a permit subjects the applicant to a ftrI; IT [{[I Is theapplicant or. future buildingocupiik iequied to sulnil a business plea, Uly iduu itiib giauuI lull a nak imaiiagement and pvviiun piugidvi uiuiiei ouiuiiu ,0J or 534 ul LOu Presley Tanner Hazardous Substance Acunt Act? Yes N Is the applicant or future building occupani fequired to obtain a permit from the ao pollution uontroi district 01 u i quality man agecient Oalnct' Z es No Is the facility to be constructed within 11,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YESA FINAL CERTIFICATE OFOCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF,THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT - .-•. --•--•• • - -. •. — heFebj iffrrn thdt there is a cniru tibn lending agency for the p rm if the rivork-this permit is issued (Sè. .30 97 (i) CMI Code). .- /) c--o -7-3C-, LendsrnNine Lender nAdiress I cerbfythat I have read the appliaahon and state that the above rntbnnation a aonectand that the inforimatiun on the plans Is accurate I agree to cemplywrth all City ordinances and State laws relahngta building construction I hereby authorize representative of the uty of Ladsbad to enter upon the above mentioned pro tor inspechon purpeses I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD -AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHAperrmt is required tor excavations over 50 deep and demolition orconsfniction of structures over 3 stones in height. EXPIRATION Every permit issued by the Building OfllaI under the provisions of this Code shall expire by Imitation and come null and void dthe building or work authpnzed by 5ud1 permit is not commenced within 180 days from the date of such permit or if the buildjgg.oi.werk onzed by such permit is suspended orabandoned at any time after the work is comm riced tbr a i7trd of 180 da (Section 10644 Uniform Building Code) LAPPLICANT S SIGNATURE Z DATE -/ Inspection List . Permut# CB141906 Type PME ZEPHYR HOMES TEMP POWER - POLE- 200 AMP- FOR NEW CONSTRUCTI * Date Inspection Item lnspeátor Act Comments . . 09/30/2014 32 Coñst. Service/Agricultural PB. AP. 09/30/2014 39 Final Electrical PB. . AP 09/29/2014 32 Const. Service/Agricultural . PB '. CA . . t .4.. . . .. . - . Wednesday February ll 2015' '•: ' . : - Page 1ofi ICE CAI DAIIIT DElI AI1IV P'DDECC UADfl APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. D I hereby affirm, at'i am Iicäñsed under o' provisions . of' Coapter, 9(commencing'with' S.ction' 7000) ofDlvlaton 3 of the Business -. I and Professions Code, and my license is in 'full force and effect. . . . Z Lic. No. __________ _., Class - .< . 0- 7 c..j - ', ..'r - l"hereb affirm that. I ,am..eaompt ,f rom the. Contrac- c,tor's ,License' Law for the following reason (Sec. 7031.5 Buslness.and Professions Code: Any.city or county which re-_.. quires, a, -permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance also requires theap- plicant for such permit to file a signed statement that he is licensed pursuant to the'provisions" of 'the Contractor's - License Law (Chapter 9 commencing with Section. 7000 of , ..' Division 301 the Business and Professions Code( or that Is ex- empt therefrom and the basis for the alleged exemption.- ii '' violation of Section 7031.5 by. an applicant for a permit suit- jects the applicant to a civil penalty of not more than tine fton' dred dollars ($500). -' .-J,.0 .1,-a; owner otfffe.property, or my.enrpbnyees with wages. w as their sole compensation, wilt do the work, and the struc-ture is not.intended or offered ,tor sate (Sec.' 7044, Business ' and Professions Code:, The Contractor's License Law does I. not.apply to an owner of property who builds_or improves_. - v't re on an who duos such work himself or through his own, 't e I yees presided that such improvements are not intend' W - ed off ed ton-sale. 'II, however the building or improve- •- - Z r Id within one year of completion, the owner-builder he harden of-provingthat he did not build or Im- 0im purpose-ot'sabe)--i- ,-_owner of the-property, am exclusively contracting 4- , _ . ,with licensed cnntractoro to construct the project (Sec. 7044, i -it'. Business and Professions Cede: The Contractor's License Law does out apply to anowoor of property who builds or imu. 4 r - proves 'thereon, ,and,wha contracts for each projects with a contractor(s) license 'pursuant to the Contractor's License . Law). _ •- .. .. • — - c 's" -r • ,'rs,, r. I- S 0 As a homeownerl am improving my home, and the follow- - 'log conditions exist: 1.rnThe work'is'belng performed prior to sale:It 2. f have lived' in my home' fortwetve months C) k ' - ''" 'prior to completion of this work. - W , i'J '_" 3. I have not claimed this exemption during the -.' 0 •,,, Iastthme years. 0 tamexemptdSec. :B&P.C. - ,,' -. for this reason-,:''.,..--• - .•4 - - 0 •; "fiv'. - 0 thereby affirm that I have a certit icafe of consenL. . to self-insure., or a ,certiticate of Workers ' Compensation Insurance, or a certified CODY thereof lSec. 38. Labor Code)-, .,- -- - ,.- — - z POLICY NO. — COMPANVf5 •-c . (46 0 Copy sfrledw lit the cfy UI , .- 0 Certified copy is hereby-furnished... .. o • CEATIFICATEOF EXEMPTION FROM " -. '•C'WORKERS' COMENSATlON'lNSURANCE - - (Thissectioq need not be,completed if the permit - is for one hundred dollars 151001 or less) cc L.-0 I certify that in the pertormance.of.thework for 0 I" 'which this permit is issued. I shall not employ any 39 person in any manner so as to become subject to the Workers Compensation Laws of California,. .. .' 'L ' : '' r NOTICE TO APPLICANT: halter• mak103 this Certr - Ir ,Iicate of Eodmptionyou should become subject -to' 'the Workers' Compensation provisions 01 the Labor .,,-..Code. you .must forthwith comply .with Such,.,L 0 provisions or this permit shall be deemed revoked. 4 t.'. 'i lrrebattrrm that there is a,COnstructiofl I nding agency to, the performance 01 the work for " which this permit is issued lSec?3097. Civil Codel -")' 1 1, r ..Lende,'sName w1k' ' L Lenders Address ' . -..--• CAALSBAD BUILDING DEPARTMENT-,. '•-' APPUCATION& PERMIT120.0 Elrri, Carlsbad, Cilifornia92008-1989..~714).438-5525 JOB-ADDRESS • - , • r" • ' - ' 'AV. ST, DATE OF APPLICATION BUSINESS LICENSE'# . 4 , 'VALUATION .PE)ItT NUMBER /f// 'OWNER'S NA 4E ' " OWNER'S PHONE • CONTRACTOR ' ' CONTRACTORS PI4ONE# ZONE.. '(:; -ADDRESS - " , , CONTRACTOR' DRESS' ' LICENSE NO. ' ' 'PCAN I.'D# 'BLDG USE CODE - )y/l ,4 ' La.a 207Y LOT BLOCK SUBDIVISION ASSESSOR PARCEL NI - DESIGNER - 11 LICENSE # STANDARD PLAN # - BUILDING SO. FOOTAGE - - . • ,• -r '' 7—.1' DESCRIPTION OF WORK ' . . • . - - , - - ' - • - . . - DESIGNER'S PHONE, Et'iEi(i J&• PP'i" -j7A DESIGNER'S ADDRESS' •. - - F/P FLR ELEV. NO vi OCCGP EDU - - STORIES - ,' ,. - , • - * V 0 Nfl --- - " ' - •••"• 0 ,* . OPENT . TYPE • CENSUS TRACT 'TP'LANO'USE 'PARKING SPACE RES UNITS . 'GRADING PERMIT ISSUED -• REDEVEL M C _t , ,' • - AREA. -. - . - -"s'- CONST ' .. -, - - , . . , 0CC LOAD FIRE SP • R - ' i'aO '0 N 0' ." vO - .,-*---. vDriD. ' ," ' Not Valid llnless Machine Certified ' R, T7 —4 QTY — EACH FIXTURE TRAP 4 INSTALL FUR UCTS UP TO 100,000 BTU BUILDING PERMIT 01-OD-00-8220' -n-- EA&H'BUILDING SEWER - '. .- '-.,-.,_-- ,,, "C ' '-,. - OVER -100,000 'B.TU_, - ,. - _.SIGN PERMIT -,.. - .- • 01-00-00-822.1. ..-.-- . -_. .•' _a EACH WATER HEATER AND/OR VENT - t BOILER/COMPRESSOR U 3 HP ' PLAN CHECK 01 00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 315 HP r - fÔTAL PLUMBING 01 00-00-8222 / 'd C) EACH GAS S'STEM 50R MOREL. -, _._ ._ METAL FIREPLACE • 4. -' .. , •, - ,,, .,.._ - ..ELECTRICAL - 0100-00-8223-. - EACH INSTAL!,ALTER REPAIR VATER PIPE VENT FAN SINGLE DUCT " - MECHANICAL 0100-00-8224 1 EACH VACUUMBREAKER '.. ' MECHEXHAUST-HOOD/DUCTS' " - " MOBILEHOME ' 010000-8225 C- -1 WATER SOFTNER ' , t RELOCATION OF EA FURNACE/HEATER - ,, MOBILEHOME PARK INSP ., EACH ROOF DRAIN (INSIDE) - SOLAR 01 00-00-8726 TOTAL MECHANICAL- - : " , -. • - - STRONG MOT(ON " ''80-92-33-0519 'TOTAL PLUMBING -.. --- . •' -'d . FIRE SPRINKLERS - ' ' 01-00-00-8227 " - -' • - QTY " ELECTRICAL PERMIT ISSUE .r '12ao QTY SOLAR ISSUE • PUBLIC FACILITIES FEE 32 00-00-8923 n.--- _• . 'v-fl ' - ' C,' '' '' -'' ,n • '' _'- -' ' '-- - -- '" F -- '' '-' ' - BRIDGE FEE-' "'-.'' '' - NEW CONST EA AMP/SWT/BKR ' " " COLLECTORS -' SCHOOL FEE DISTRICT "3 PH - STORAGE TANKS C Carlsbad I 813-92-211-0519 --.-.' EXIST BLDG EA AMP/SWT ---' - •.. -'v' - - ROCK STORAGE'- ' it - Encinitas 1 PH -v P " s PUMP I San Diegutto 8G--92'23-0519 REMODEL/ALTER PER CIRCUIT r!) , PLAN 6 ECK FEE - San Marcos 80-92240519 TEMPPO'LE200AMPS OVER 200-AMPS-----.---- - .,'-''.• t,,l , ," - . - 1 ' - . , ' -- ' .' , ' - TEMPOCCUPANCY)30DAYS)_5 TOTAL ELELTRICAL'5 - ' " , - ,• -' - " v - • • • ' • , 9 5AS9LARC1. . -.• .-,. C TOTAL FEES PAYABLE J - /(./ iIQ I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit Issued bythe Building Official underthe provisions ofthis *,, AN OSHA pElT IS REQIJIRE_D FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ire limitation and become null and m If the building or heclateof7ic - 50-41 OEEP,ANODEMOtfl'IOPFORcoNSTRUC11ON OF authorized by such permit is not commenced within 180 days fro DECLARATIONS ARErTRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or if the bulldin or work authorized by Such permit I., suspended or, BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING abandoned at any time after the work is commenced for a period of 180 dave. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE * - 0 APPROVED BY ( Y I)' • ' . - DATE ' JUDGMENTS, COSTS AND / -' OWNER ' CONTRACTOR 'wy KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE / - - - - BY PHONED — ' - GRANTING OF THIS PERMIT. - I7 t' •_ . ' ,. - . - - - I. • " - - -. •- :- - - . . - — . . . - - . I. INSPECTION TYPE DATE 4 INSPECTOR BUILDING FOUi3ATION EINFORCED STEEL ,MASONRY'.-,,-- 8. ______ 1 GUNITE'OR GROUT' - . - -FLOOR & CEILING SUB FRAME ______ -• SHEATHING,'. - FRAME : •.-. - ---- 4 . .,.. EXTERIOR LATHNSULATION,a * INTERIOR LATH &.DRYWALL. - PLUMBING • 4- SEWER AND BL/CO - PLUMBING UNDERGROUND - - - PLUMBING. TOP.OUT - TUBANDSHOWERPAN -.4 - GAS'TEST ELECTRICAL ..- TEMPORARYPOWER __-•-H , '- - ELECTRIC UNDERGROUND _•. - _-. •• 4' ROUGH' ELECTRIC ELECTRICSERVICE BONDING ' - - • G.F:i. SMOKE DETECTOR . _MECHANICAL -DUCT&PLEM._REF._PIPING' HEAT'—AIR-COND.— SOLAR SYSTEMS , VENTILATINGSYSTEMS __'-' . r '4,.,-,.. .. ,,,•..4 •__•.•t'_' '- - FIELD INSPECTION RECORD 4 1 1 - REQUIRED SPECIAL INSPECTIONS J INSPECTOR'S NOTES I - INSPECTION REO. IF INSPECTOR'S.APPROVAL DATE 7 - CHECKED SOILS COMPLIANCE PRIORTO ' - ' ' ' ' •--- . - ' FOUNDATION INSP '• . ' - _•.--4'. .._ ' .- STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE' _-.. . * , - ' 4 - - - . - POST TENSIONED , . - ..- • '' - ' - -, CONCRETE' ' ' ' -• *' _' _--'' _- _- FIELD WELDING HIGH STRENGTH -: . A -' ' .4 I , • . ' - BOLTS , - -4 - ' • .''-S •'*I __''. 4 '-. SPECIAL MASONRY - - - ' - 4 .- .1 '' ' -- ' ' - "'1 ' ' - .• • , PILES'CAISSO NS, • a ' ' ' • --. . .- - .* ' •"-' ..-' ' -•- • - - -' 7- CALL, FOR FINAL INSPECTION WHEN ALL APPROPRIATE -. - - * •1 - . ITEMS-ABOVE-HA VE BEEN APPROVED. ___ _: - _-.___ '• -'-' ____!-,: JOB SITEFINAL _.- , PLUMBING -- - . i_' ELECTRICAL.-________ -'ir._\\ -_-_' -_• __ ••'•'• -, .- -- -'S - • - • - - -_-_'_' - Mf"UAMI('AI - - - . I 8 ' - \';,: ___ ______ _____ _______ - GAS ________, .IJ'/ BUILDING -' - ' "5 -' - *SPECIAL- CONDIT IONS. CERT OF OCCUPA•Y_ ISSUED - __._ 4r _ APPLICATION FOR BI*DIG PERMIT 4110 CITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 Ext. 36 Owner Name // "21er IV Mailing Address 1 81/ O4/( (Please Print) (Last) (First). . .(middle) . . Number. Street City Phone Contractor A' tbi )&S 4/ Mailing Address 29s— *JL_ (Please Print) . . . Number Street City Phone To Construct 0 To Add l... To Alter 0 To Repair fl To Convert To Move From .............................................................. dress Type of Const Kind of Foundafion...&11...d... ....... No. of Stories..../......To Be Used for . .t2'c{.......... (Frame, Masonry, tc.) . . . . (One Family Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. feet) ............ ............Const. Valuation .............................................................. Ly attached Floor Space of Garage (sq. feet) 47 detached DConsf. Valuation $ LEGAL DESCRIPTION Lot . Block Subdivision or Section Township Range Located at / c c2.1é_ Street Near Assigned House Number . : . LAND AREA ......................................NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....................................................(INDICATE SIZE, USE AND LOCATION ON PLOT PLAN J,..WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? . YES ...... ?L. NO...... I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. If a check is tendered for'p-ayment of the above fee. and the check is not honored wheri presented. for payment, your Building Permit-will.be SIGNATURE OF. immediately revoked. PERMITTEE ... .\ L.. Front Yard Set Back Side Yard Set Back ....................................................................... Rear Yard Set Back ........................................................................ Distance Between Bldg. ................................................................ Off Street Parking Spaces ............................................................ Sewage Disposal System ................................................................ Driveway Permit Required Yes ( ) No (;It/Fee Grading Permit Required Yes ( .) No (yJ/. Sewer Disposal Plant Capital Cont. Fee ...................... Sewer Pumping Station Capital Cont. Fee ............................... Sewer Main Line Cost .................................................................... Sewer Lateral Connection Charge ...................................... Zone - Residential -/) Zone — Commercial (. ) Variance Eng. Check By Water Stocked Lands Charge .................... Wafer Main Pipe Line Fee.......................... Wafer House Service Charge ..................... Water Meter Charge .................................. = . . . Sub Total ....................................................................................... Plans Approved b... ........Plan Check Fee ........................................................................................................ Approved by . ..Building Permit Fee ...... Date.............................................................................................................................Total Charges ...............................................................................................